• Márcio Costa Nobre, Marcílio Monteiro, Antônio Carlos de Albuquerque, Adriano Teixeira Veloso, Vandete Aguiar Mendes, Marise Fagundes Silveira, Lucídio Duarte de Souza Filho, Marcelo José da Silva, and Geraldo Vítor Cardoso Bicalho.
• Hospital Santa Casa de Montes Claros, Rua Aracajú 61, 39402-267 Montes Claros, MG, Brazil. trabalhoglm@yahoo.com.br
• Arq Neuropsiquiatr. 2007 Mar 1;65(1):107-13.

UnlabelledThe large ischemic cerebral infarction (LICI) is a blood supply loss of a large area in the brain, mainly on the middle cerebral artery. Is possible that evolutes a major edema, intracranial hypertension and death in about 80% of the cases.ObjectiveTo evaluate the results of a decompressive craniectomy on the treatment of the secondary intracranial hypertension to LICI, comparing to other results of medical literature already published.MethodWere analysed 34 patients diagnosed with LICI clinically treated unsuccessfully that needed further on the decompressive craniectomy treatment, for the control of intracranial hypertension.Results8 patients (23.52%) died, 26 (76.47%) survived, and 2 (7.70%) developed a vegetative state condition.ConclusionThe factors age over 50 years and male gender were associated with a high death risk. The level of consciousness at admission and bone flap area were nearer the values of statistic significance.

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